Retention and Job Satisfaction of the Individual Nusantara Sehat Participant in 2018

Abstract

Health services still have to deal with high turnover of health worker as a common issue in developing countries. Generally, the retention problem has a significant impact on continuing adequate health care to people especially in remote areas. For that reason, The Nusantara Sehat became the government's priority program to fulfill the health worker needs in boundary areas nowadays. Since 2017, the program has individual nusantara sehat (ISN) assignment as an additional scheme beside the team based approach to fulfill the national health worker standard in primary health care. Therefore, it was necessary to provide an overview of the retention of INS assignment as an affirmative program in remote areas in Indonesia. The research was performed to explore the relationship between job satisfaction and retention of the INS personnel. The research was conducted a quantitative methods. Electronic questionnaires were distributed to individual nusantara sehat at December 2018. Total 444 questionnaires was returned in the survey and answered completely. The research found that 88.3% of the INS personnel reported as good retention and 44.4% of respondents had high job satisfaction. The Chi-squares test showed the significant relationship between the INS personnel's retention and job satisfaction (p value=0.001, OR=3.09). The study identified the crucial satisfier factors were related to socio-cultural situation. In the other hand, organizational conditions were considered as the important dissatisfied factors to health workers retention. Thus, it was important to develop the health workers' management scheme based on their location condition and basic supporting needs. The specific approach according the regional characteristics need to be applied to retain the health worker retention and satisfaction in remote areas. The government also needs to setting up the remote areas-oriented health education initiatives.